Observational studyArchives of physical medicine and rehabilitation2022
Ecological Momentary Assessment of Real-World Functional Behaviors in Individuals With Stroke: A Longitudinal Observational Study.
Observational study in Archives of physical medicine and rehabilitation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 14 citations in OpenAlex.
- Enhancing Societal Participation for Stroke Survivors With Cognitive Impairments: A Randomized Controlled Trial.Journal of the American Heart Association · 2025Trial
- Ecological Momentary Assessment of Daily Activities in Individuals With Neurological Disorders: Scoping Review.JMIR rehabilitation and assistive technologies · 2026Review
- Observational
- Smartphone-Based Ecological Momentary Assessment Among Community-Dwelling Older Adults: Observational Feasibility and Acceptability Study.JMIR formative research · 2026Observational
- Staying Active: Promoting Activity Engagement for Poststroke Pain Management With Insights From Ecological Momentary Assessment.Archives of physical medicine and rehabilitation · 2026Observational
- The Use of Ecological Momentary Assessments to Measure Perceived Stress in People With Aphasia: A Feasibility Study.Journal of speech, language, and hearing research : JSLHR · 2025Article
- Capturing cognitive capacity in the everyday environment across a continuum of cognitive decline using a smartwatch n-back task and ecological momentary assessment.Neuropsychology · 2025Article
- Topic: Evaluation and Treatment of Social Isolation and Loneliness: Evidence-based Recommendations for Stroke and Neurological Rehabilitation.Current physical medicine and rehabilitation reports · 2025Article
- "They can, but why don't they?" Exploring non-motor factors to explain limited hand-use poststroke.European journal of physical and rehabilitation medicine · 2024Article
- Intraindividual variability in post-stroke cognition and its relationship with activities of daily living and social functioning: an ecological momentary assessment approach.Topics in stroke rehabilitation · 2024Article
- Information from ecological momentary assessments lead to over-medicalization: Yes.Multiple sclerosis (Houndmills, Basingstoke, England) · 2024Article
- Dynamics of Perceived Social Isolation, Secondary Conditions, and Daily Activity Patterns Among Individuals With Stroke: A Network Analysis of Ecological Momentary Assessment Data.Archives of physical medicine and rehabilitation · 2024Observational
- Leveraging Emerging Technologies to Expand Accessibility and Improve Precision in Rehabilitation and Exercise for People with Disabilities.International journal of environmental research and public health · 2024Review
- Article
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 1 country.
Funding
Abstract
objectiveTo validate and characterize real-world functional behaviors in individuals after stroke.
designLongitudinal observational study using ecological momentary assessment (EMA) as a real-time assessment of functional behaviors in natural contexts. Wilcoxon rank-sum tests, Fisher exact tests, and Spearman correlations were used to analyze data.
settingCommunity.
participantsIndividuals with mild to moderate stroke (N=212).
interventionsNot applicable.
main outcome measuresIndividuals were assessed 5 times daily for 14 days with EMA surveys to determine what, with whom, and where individuals were doing activities and appraise mental, somatic, and cognitive symptoms. Individuals also completed standardized assessments during laboratory visits, including Lawton Instrumental Activities of Daily Living Scale, Activity Card Sort, Patient-Reported Outcome Measurement Information System, and Quality of Life in Neurological Disorders.
resultsMost individuals (median age, 60 years; 55% male) were ischemic stroke (90%) and had mild stroke severity (median National Institutes of Health Stroke Scale, 2). A total of 14,140 EMA surveys were analyzed. Individuals were home 78% of the time; primarily participated in passive, unproductive activities (27%), especially watching television and resting; and participated least in physical activities (4%). EMA was sensitive to indicators of poststroke disability; unemployed individuals reported fewer vocational activities but more activities of daily living (ADL) and passive activities than employed counterparts. Users of mobility devices and individuals with cognitive problems spent significantly less time on vocational activities and more on ADL than nonusers and those without cognitive problems. Our data supported the validity of EMA methods in stroke, with small to moderate correlations of EMA with in-laboratory measures of daily functioning (r=-0.30 to 0.35, P<.05) and very large correlations between EMA and in-laboratory measures of symptoms, especially those measuring same constructs (r=-0.64 to 0.79, P<.0001).
conclusionsOur findings reveal that EMA tracked poststroke functioning precisely. EMA may be beneficial in examining poststroke functional recovery, in monitoring patients for home-based interventions, and for longitudinal research.
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